Pediatric illnesses

Question 1

measles

Answer 1

Rubeola

paramyxovirus

Question 2

scarlet fever

Answer 2

group A beta hemolytic strep

Question 3

rubella

Answer 3

german measles

togavirus

Question 4

filatow-dukes disease

Answer 4

obsolete

Question 5

erythema infectionsum

Answer 5

human parvovirus B19

Question 6

roseola infantum

Answer 6

human herpesvirus 6-7

Question 7

rash for measles

Answer 7

(exanthem) 4-5 days day eruption
- starts on face and then disseminates over trunk and extremities
- INCLUDES PALMS AND SOLES OF FEET

Question 8

kapliks’s spot

Answer 8

( enanthem) measles
2 days before rash
-small irregular bright red spots with central blueish-white mucosa on buccal mucosa opposite side of second molar

Question 9

complications from meases

Answer 9

respiratory infections
encephalitis: acute disseminated myeloencephalitis, or subacute sclerosing panencephalitis (fatal, 7-10 years after infection)

Question 10

german measles (rubella) rash

Answer 10

starts on face and spreads to trunk and extremities

• precedes a low grade fever, sore throat, and cough and lymphadenopathy (posterior and occipital)
• disappears 2 days later, typically 3 days duration

Question 11

rubella spots

Answer 11

forchheimer spots

-enanthem on the soft palate, palatal petechiae

Question 12

complications from rubella

Answer 12

acute encephalitis

acute thyroiditis

Question 13

congenital rubella syndrome

Answer 13

hearing loss
mental retardation
cardiovascular defects
ocular defects
"blueberry muffin rash" purpuric rash HSM

Question 14

parvovirus B19 phases

Answer 14

slapped cheeks
fishnet erythema
recurrence rash after resolution

Question 15

five syndrome associated with B19

Answer 15

1. fifth disease (slapped cheek, most typical)
2. arthropathy
3. non-immune hydrops fetalis, intrauterine fetal death or miscarriage
4. transient aplastic crisis in those with chronic hemolytic disorders (sickle cell disease)
5. chronic pure red blood cell aplasia in IC individuals (leukemia, HIV, organ transplant)

Question 16

papular purpuric glove and sock syndrome associated with

Answer 16

parvovuris

Question 17

roseola infantum

Answer 17

high fever 3-4 days in well child

-pale-pink macular appear as soon as fever breaks

Question 18

herpes family

Answer 18

HSV1/2
varicella-zoster virus
CMV
EBV
human herpes virus 6/7
human herpes virus 8

Question 19

hand foot and mouth disease

Answer 19

coxsackie virus A16 or enterovirus A71
-sore lesions on mouth
-less sore lesions on hands-feet
lasts 7-10 days

Question 20

cycle for hand and foot mouth disease

Answer 20

late summer and fall

Question 21

herpangina

Answer 21

coxsackie A viruses
-young children
-yellowish greyish white papulovesicular lesions on tonsils/uvula/palate
DDx: herpes stomatitis, aphthous ulcers

Question 22

enterovirus rashes

Answer 22

hand-foot mouth disease (coxsackie A16)
herpangina (coxsackie A viruses)
non-specific eruptions